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Chapter 3

Chapter 3 . Personal and Professional Relationships and Communication. Questions related to boundaries. Is this in my client’s best interest? Whose needs are being served? Will this have an impact on the service I am delivering?.

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Chapter 3

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  1. Chapter 3 Personal and Professional Relationships and Communication

  2. Questions related to boundaries • Is this in my client’s best interest? • Whose needs are being served? • Will this have an impact on the service I am delivering?

  3. Should I make a note of my concerns or consult with a colleague? • How would this be viewed by the client’s family or significant other? • How would I feel telling a colleague about this?

  4. Am I treating this client differently (e.g., appointment length, time of appointments, extent of personal disclosures)? • Does this client mean something special to me? • Am I taking advantage of the client?

  5. l • Does this action benefit me rather than the client? • Am I comfortable in documenting this decision/behavior in the client file? • Does this contravene regulations, written Standards of Professional Conduct, or the Code of Ethics for the certifying group I belong to, etc.?

  6. Types of Disclosure • Deliberate • Unavoidable • Accidental • As a result of client action

  7. Classification of Disclosure • Meta-disclosure • Irresponsible disclosure • Manipulative disclosure • Competitive disclosure

  8. Key steps to establishing empathy • Identify strong feeling in the clinical encounter • Pausing to imagine how the patient feels • Stating to the patient what the perception is of the feeling state in an effort to validate the feeling • Communicate interest in working with the patient regarding the issue shared in the encounter

  9. Compassion Fatigue also known as: • Secondary Traumatic Stress • Vicarious Traumatization • Secondary Traumatization

  10. Symptom clusters for compassion fatigue fall into three categories: • Avoidance • Arousal • Intrusion

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